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Pharmacy Information

Visit the KDHE pharmacy page for more information.

MCO Pharmacy Policies

- Publications
- MAC Price Look-Up
- MTM Services(877-237-0050)
- PA-Prior Authorization Rx
- ONLINE Pharmacy PA
- PA-Prior Authorization DME
- DME Issue Inquiry Form
- DME Provider Contacts
- DME Claims Assistance: (855) 221-5656
- DME Contracting
- Aetna Provider Manual
- CVS Caremark Member Reimbursement Inquiry Form
- CVS Formulario de reclamaciones de reembolso de recetas
- Specialty Pharmacy
- Contact Us
- MCO Contracting
- PBM Contracting
- CVS Caremark
- Aetna Contact Numbers:
  Member Services- 855-221-5656; Option 1
  Prescribing Provider Pharmacy Prior Authorization- 855-221-5656,; Option 2, Option 2, Option 2.
  Pharmacy Prior Authorization Fax: 844-807-8453
  CVS Caremark Pharmacy Help Desk- (844) 234-8268
  Medical Prior Authorization Fax: 855-225-4102
  Appeals Fax: 833-857-7050
  Pharmacy Program Inquiries, Mark Demary: 304-841-8865 mxdemary@cvshealth.com
- Publications
- MAC Price Look-Up
- MTM Services
- MTM Provider Contact
- PA-Prior Authorization Rx
- Electronic Prior Authorization
  
  Cover My Meds PA submission
  
  Express Path PA submission
- PA-Prior Authorization DME
- DME Issue Inquiry Form
- Rx & DME Provider Contacts
- Provider Manual
- Reimbursement Inquiry Form
- Express Scripts
- Contact Us
- MCO Contracting
- PBM Contracting

Grievances and Appeals

Fee For Service
Aetna
Sunflower
United
Amerigroup Medical Necessity Appeal Form